Provider Demographics
NPI:1205209327
Name:MONICA MEJIA ACOSTA MD PLLC
Entity Type:Organization
Organization Name:MONICA MEJIA ACOSTA MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEJIA ACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-629-2669
Mailing Address - Street 1:151 N NOB HILL RD
Mailing Address - Street 2:SUITE 173
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1708
Mailing Address - Country:US
Mailing Address - Phone:305-629-2669
Mailing Address - Fax:305-892-2993
Practice Address - Street 1:151 N NOB HILL RD
Practice Address - Street 2:SUITE 173
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1708
Practice Address - Country:US
Practice Address - Phone:305-629-2669
Practice Address - Fax:305-892-2993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-11
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty